Hospital for Special Surgery · 5 months ago
Accounts Receivable rep I
New York, NY
Full-time
Onsite
Mid Level
$35.92/hr - $35.92/hr
3+ years expHospital for Special Surgery is a top-ranked hospital for orthopedics and rheumatology, dedicated to providing high-quality care and skilled service. They are seeking an Accounts Receivable Representative to resolve customer issues, manage high volumes of incoming calls, and coordinate customer satisfaction across various departments. The role involves handling patient refunds, payment plans, and insurance follow-ups.
Health CareMedical
Responsibilities
Reviews and processes correspondence from patients and insurance carriers
Insurance Follow-up with primary, secondary, and tertiary claims
Denial Management to include payer denials and denial solutions
Submitting appeals to carriers for reasons such as medical necessity and bundling
Credit Balance Management to include reviewing and resolving payment application errors
Reviews and maintains unbilled charge reports, denial reports, and claim allocation reports
Annotates adjustments/updates to patient accounts
Performs other related duties as required
Develops/Manages Processes & Systems - Assists with contracts Assists in the negotiation of physician managed care contracts, analytics, and financial modeling
Upholds Standards/Expectations of HSS Staff - Coordinates enrollment Coordinates physician enrollment in managed care plans
Upholds Standards/Expectations of HSS Staff - Ensures compliance Ensures compliance of managed care companies with negotiated contracts
Upholds Standards/Expectations of HSS Staff - Resolves payor issues Follows-up and resolving payment issues with Insurance Payors
Upholds Standards/Expectations of HSS Staff - Acts as liaison Acts as a liaison between physician offices and Insurance Payors
Upholds Standards/Expectations of HSS Staff - Assists with meetings Schedules, coordinates, and documents for all PHO related meetings
Maintains Documentation & Manages Information - Maintains tracking logs Creates and maintains tracking logs for Insurance Payor issues and accountability for closing out items
Upholds Standards/Expectations of HSS Staff - Oversees PHO line Oversees PHO phone line, answers and responds to inquires, and assist with urgent physician office issues
Upholds Standards/Expectations of HSS Staff - Attendance Maintains satisfactory attendance record
Upholds Standards/Expectations of HSS Staff - Maintains punctuality Reports for duty punctually
Upholds Standards/Expectations of HSS Staff - Adjusts to change Adjusts to changing situations and work assignments
Qualification
Required
High School Diploma or equivalent, with some college preferred
Minimum of three years experience in medical billing procedures including registration, charge entry, payment posting, and claim preparation
Computer skills and knowledge of relevant software (Microsoft Office and Excel)
Knowledge of medical coding is a plus
Experience in healthcare billing
Proven leadership in previous accounts receivable role
Preferred
Associate's degree or enrolled in college working toward degree
5+ years of experience
Knowledge of third party operating procedures, regulation, and billing requirements as well as government reimbursement programs
Knowledge of CPT, ICD-10, HCPCS coding and Medical Terminology and Collections
Proficient in uses of computerized registration and billing systems and personal computers, including Microsoft Office Suite
Ability to identify trends with third party payer denials and provide feedback or recommendations for improvement to management
Positive attitude, flexible team player
Strong analytical skills
EPIC experience preferred
Company
Hospital for Special Surgery
Hospital for special surgery is the top ranked new york hospital for orthopedics and rheumatology.
5001-10000 employees
H1B Sponsorship
Hospital for Special Surgery has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (26)
2024 (20)
2023 (27)
2022 (32)
2021 (18)
2020 (27)
Funding
Current Stage
Late StageTotal Funding
$36.6MKey Investors
Stavros Niarchos Foundation (SNF)Flare Capital Partners
2023-06-12Grant· $10M
2022-10-25Series A· $21M
2018-07-16Grant· $5.6M
Leadership Team
Tara M. McCoy
Chief Executive Officer, HSS Florida
Bill Donato
Senior Advisor Supply Chain
Recent News
Crain's New York Business
2026-01-13
HospitalManagement.net
2026-01-13
Company data provided by crunchbase